ATTACHMENT O - Technical Experience Reference - 5 JAN 2020.doc
DOC document 38 KB Posted
- Attached to
- Quality Assurance (QA) Seeding Solicitation Federal contract opportunity
- Solicitation number
- W912DY20R0028
About this file
This document contains a technical experience reference form and details of a federal contract opportunity for quality assurance seeding services. The technical experience reference form requests information on relevant past project experience, including description, contract details, schedule, modifications, safety record, small business goals, and references.
The quality assurance seeding contract is a firm fixed price multiple award task order contract with a total value of $49 million to be awarded through full and open competition. Task orders will average $500,000 to support environmental remediation services throughout the United States and territories for the Department of the Army Corps of Engineers Engineering Support Center Huntsville. The North American Industry Classification System code is 562910 for environmental remediation services, and the applicable Product Service Code is F108 for hazardous substance removal and disposal services. Questions should be directed to the email provided by the specified date.
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Text version
EXPERIENCE – TECHNICAL EXPERIENCE REFERENCE
(May be modified/formatted as needed but offeror’s proposal shall contain at a minimum all the information below. This form is not included in the page count.)
SOLICITATION NO. W912DY-20-R-0028
PROJECT EXPERIENCE FORM
Please provide a completed form for each project for which experience is being claimed (Offeror fills out this section).
Name of Offeror: __________________________________________________
Name of Project: __________________________________________________
Location of Project: ________________________________________________
Contract Number Project Performed Under: _______________________ Task Order Number: ___________________________ Was the Project Firm-Fixed Price or Cost Reimbursable (including Time & Materials)? ________________________________________________________________________________________________________ Was the offeror the prime contractor or subcontractor? ___________________________________________________________ Please explain primary role/duties performed as the prime or the subcontractor: ________________________________________
Brief Description of Project ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Contract Amount at Award: _____________________________________________
Final Contract Amount: ________________________________________________
Amount added by Modification: _________________________________________
Explanation of any Cost Growth/Overruns: ____________________________________________________________________
Multiple Interim Schedule Milestones (to include scheduled start date): ______________________________________________
Original Contract Completion Date: ____________________________________
Final Contract Completion Date: _______________________________________
Actual Completion Date: ______________________________________________
Time added by Modification: ___________________________________________
Explanation of any Late Finish: ______________________________________________________________________________ Additional Project Information (Offeror can add attachment provided page count is not exceeded): ________________________________________________________________________________________________________
Was the project terminated early or were cure/show cause letters received? FORMCHECKBOX Yes FORMCHECKBOX No Explain early termination (default/convenience) or cure/show cause letters.
Safety record: ____ Accidents, ____ Incidents, ____Violations
List and explain any customer concerns or dissatisfaction
What were the SDB, WOB and small business percent goals in the original contract, if any? N/A________SDB:______ WOB: _____ Small Business: ______ HUBZONE: ______ SDVOSB: _______
What was the actual percent achieved at contract completion?
N/A______SDB: ______ WOB: _____ Small Business: _____ HUBZONE: ______ SDVOSB: _______
Was the project owner an agency of the federal government? FORMCHECKBOX Yes FORMCHECKBOX No
Name, address, email, and telephone number of the owner:
Name and telephone number of a representative of your firm who is knowledgeable of this project and can readily be contacted:
Name, address, email, and telephone number of a representative of the owner who is knowledgeable of this project and can be readily contacted:
Name, address, email, and telephone number of the Contracting Officer if project was for federal government:
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